腰硬联合麻醉中不同脑脊液流速的麻醉效果

详细信息    查看全文 | 推荐本文 |

英文篇名：The Effect of Different Cerebrospinal Fluid Flow Rate on Anesthesia in Combined Spinal and Epidural Anesthesia 作者：别世杰 英文作者：BIE Shijie;Department of Anesthesiology, The First People's Hospital of Jingzhou City; 关键词：腰部麻醉 ; 硬脊膜麻醉 ; 联合麻醉 ; 脑脊液流速 ; 麻醉效果 ; 影响 英文关键词：lumbar anesthesia;;dural anesthesia;;combined anesthesia;;cerebrospinal fluid flow rate;;anesthesia effect;;influence 中文刊名：JXUY 英文刊名：China Continuing Medical Education 机构：湖北省荆州市第一人民医院麻醉科; 出版日期：2019-02-28 出版单位：中国继续医学教育 年：2019 期：v.11 语种：中文; 页：JXUY201906026 页数：3 CN：06 ISSN：11-5709/R 分类号：68-70

摘要

目的探究腰硬联合麻醉中不同脑脊液流速对麻醉效果的影响。方法选取我院收治的111例接受腰硬联合麻醉手术的患者作为研究对象,将患者分为A组(n=57)和B组(n=54)。其中,A组患者的脑脊液流速为0.10 mL/s,而B组患者的脑脊液流速为0.06 mL/s,进而对两组患者麻醉后的效果进行比较。结果 A组经过麻醉后的最高阻滞平面出现时间(10.06±0.21)min,短于B组经过麻醉后的最高阻滞平面出现时间(16.28±0.69)min;而运动阻滞评分(2.68±0.31)分,高于B组的运动阻滞评分(2.12±0.16)分,组间各数据比较,差异具有统计学意义(P <0.05)。结论若患者的脑脊液流速为0.10 mL/s,将0.5%罗哌卡因通过推注的方式对患者进行麻醉工作将会产生良好的麻醉效果,对于患者手术治疗效果的提升拥有着显著的效果,有利于促进患者的身体健康。
        Objective To investigate the effects of different cerebrospinal fluid flow rates on anesthesia in combined spinal and epidural anesthesia.Methods A total of 111 patients undergoing combined spinal-epidural anesthesia were selected as the study subjects. The patients were divided into group A(n=57) and group B(n=54). The CSF flow rate in group A was0.10 mL/s. The CSF flow rate in group B was 0.06 mL/s. Then the effect of anesthesia was compared between the two groups. Results The occurrence time of the highest block plane after anesthesia in group A was(10.06±0.21)min, which was shorter than that in group B(16.28±0.69) min. However,the motor block score(2.68±0.31) points, which was higher than that of group B(2.12±0.16) points. There was a significant difference in the data between groups(P < 0.05). Conclusion If the patient's cerebrospinal fluid flow rate is 0.10 mL/s, 0.5% ropivacaine will give a good anesthetic effect by anesthesia, which will have a significant effect on the improvement of surgical treatment. It is conducive to promoting the health of patients.

引文

[1]刘小勇,刘文勇.0.5%罗哌卡因腰硬联合麻醉时不同注药速度的麻醉效果观察[J].现代诊断与治疗,2017,28(8):1404-1405.
    [2]Kim BG,Kang H.The effect of preemptive perimina ropivacaine and ropivacaine with dexmedetomidine on pain after hemorrhoidectomy:a prospective,randomized,Double-blind,placebo-controlled study[J].Indian J Surg,2014,7(1):49-55.
    [3]Kiadaliri AA,Englund M,Lohmander LS,et al.No economic benefit of early knee reconstruction over optional delayed reconstruction for ACL tears:registry enriched randomised controlled tri-al data[J].Br J Sports Med,2016,50(9):558-563.
    [4]吴鲜艳.小剂量等比重腰麻硬膜外联合麻醉对老年下肢骨折手术的应用价值[J].医学理论与实践,2017,30(3):389-390.
    [5]张凯.腰硬联合麻醉与硬膜外麻醉在剖宫产术中的应用对比研究[J].中国卫生标准管理,2015,6(1):26-28.
    [6]陆蓉,马国平.腰硬联合麻醉不同注药速度对麻醉效果的影响[J].医学综述,2016,22(12):2422-2424.
    [7]金福植,金浩哲,金海燕.罗比卡因联合舒芬太尼麻醉在下肢手术的麻醉平面与镇痛效果分析[J].中国实用医药,2017,12(5):92-94.
    [8]严爵基,朱晓燕,陈灿.腰硬联合麻醉中脑脊液回抽对麻醉平面的影响[J].临床合理用药杂志,2016,9(9):119-122.
    [9]邓小明,姚尚龙.现代麻醉学[M].4版.北京:人民卫生出版社,2014,2(10):1148-1160.
    [10]潘喜平.地塞米松磷酸钠注射联合腰硬麻醉在高龄产妇分娩中的临床意义[J].健康之路,2018,7(1):66.
    [11]赵磊.腰硬联合麻醉中脑脊液回抽对麻醉平面的影响分析[J].中国继续医学教育,2018,10(17):78.
    [12]张迁龙,齐立杰,李胜男,等.脑脊液流速对腰麻和硬脊膜外联合麻醉效果的影响[J].武警医学,2018,4(7):44.
    [13]朱晓燕.腰硬联合麻醉中脑脊液回抽对麻醉效果的影响研究[J].桂林医学院,2015,10(20):45.
    [14]胡小福,张卫军,官海燕.硬膜外腔注药对腰硬联合麻醉中腰麻平面的影响研究[J].临床医学工程,2017,24(11):1557-1558.
    [15]樊紫君,黄睿超.腰硬联合麻醉下不同注药速度对麻醉效果的影响[J].深圳中西医结合杂志,2017,21(24):44.
    [16]林晃.腰-硬联合麻醉时不同注药速度对麻醉效果的影响[J].中国伤残医学,2014,22(1):74.